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Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
- Differential Diagnosis ... - Tamponade Pulmonary ... - Asthma - COPD ... • Parenchyma: ILD ... #differential #diagnosis
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
- Differential Diagnosis ... • Asthma • COPD ... Thickening/Masses Chest ... Interstitium • ILD ... #Differential #Diagnosis
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
- Differential Diagnosis ... Pulmonary/Chest ... Asthma attack, ILD ... Chronic: Asthma, COPD ... , CTEPH, ILD, Sarcoid
On the left a patient who complained of arthritic pain.

There are multiple small bilateral peripheral consolidations.
The
specific as in the former ... #Clinical #Radiology ... #CTChest #COP # ... Organizing #Pneumonia #ILD
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
and Diagnosis Asthma ... Dyspnea, Wheeze, Chest ... Cyanosis, Barrel chest ... #comparison #Diagnosis ... #pulmonary
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
bronchiolitis: ill ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Differential #Comparison
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
#Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison
Pulmonary Hypertension Groups - WHO Classification
Group I - Vascular remodeling of pulmonary arteries
 • Idiopathic, HIV,
hypoxemia • COPD ... , ILD, sleep apnea ... dyspnea, fatigue, or chest ... dyspnea, fatigue, chest ... Classification #diagnosis
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... consolidation - Multifocal ill-defined ... mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
- Differential Diagnosis ... Hypersensitivity Pneumonia, COP ... Sarcoidosis, NSIP, COP ... #Differential #Diagnosis ... #pulmonary #radiology